ArticleBMC cardiovascular disorders2026
Indirect mitral annuloplasty using Carillon device after conduction system pacing resynchronization in patient with severe mitral regurgitation: a case report.
Article in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe prevalence of secondary mitral regurgitation (SMR) is increasing due to the aging population. SMR management is a complex disease because at least 2 pathologies are involved. SMR and severely reduced EF are independent risk factors for adverse outcomes. We present the case of a 57-year-old man who presented with dyspnea NYHA III. On echocardiography, a combination of SMR and DCM with EF of 20% were diagnosed. Indirect mitral annuloplasty after CRT-CSP was performed based on the patient's clinical profile and high surgical repair risk. The 3-month follow-up was uneventful. DISCUSSION: Mitral valve repair techniques in ventricular SMR with severely reduced EF are controversial due to ongoing debates about long-term repair durability in the setting of left ventricular remodeling. Percutaneous strategies are an alternative for high-risk surgical patients and their indication expanded for more complex anatomy and patient´s comorbidity.
conclusionIndirect mitral annuloplasty with the Carillion device in patients with CRT-CSP due to low EF and severe mitral regurgitation is feasible for the treatment of these combined pathologies and allows more physiological pacing and future M-TEER.
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